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SR0079203
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACK TONE
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079203
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Entry Properties
Last modified
7/19/2018 1:49:25 PM
Creation date
7/19/2018 1:32:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079203
PE
4210
STREET_NUMBER
17154
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05303024
ENTERED_DATE
6/4/2018 12:00:00 AM
SITE_LOCATION
17154 N JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS:; j IV : S R C PERMITi` <br />Check box ACTUAL MEETS SJC <br />PARAMETER if Inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANKLEVEI_AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED 7 <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N , <br />Y N <br />�Y <br />N` <br />Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />ISO-BOXLEVEL? <br />OTHER <br />Y N <br />Y - <br />Y( <br />��Y N <br />Y N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LLTRENCHES7 <br />CORRECTTYPE OF PIPING? <br />OTHER <br />y —� <br />' Zi Y N <br />•y. � 7 Y N <br />Y' N <br />Y N <br />�_j TN id if L,, r - <br />/ S "�� N <br />�J N <br />Y N <br />g2 S J' N <br />Y N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF OIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />_ 1 <br />` (o% N <br />N <br />N <br />- Y N <br />Nr,-, <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OFSYSTEM? Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: �/� � DATE: � A, <br />� I <br />
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